Active NPI
Michael Christopher Large, M.D.
- Urology Physician
- Fishers, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01072896A
- Practice address
- 14300 E 138TH Ste a
Fishers, IN 46037-0087 - Phone
- (317) 813-1660
- Fax
- (317) 813-1667
- NPI assigned
- Feb 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 125-049267 | IL | |
| Urology Physician | 208800000X | 01072896A | IN | Primary |
Addresses
Primary practice location
14300 E 138TH Ste a
Fishers, IN 46037-0087
Mailing address
679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 885-1250
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201191980 | Medicaid | IN | |
| 000000826877 | Other | IN | ANTHEM PIN |
| 1548340177 | Other | IN | NAAB ROAD DME NPI |
| 100194370 | Other | IN | GROUP MEDICAID NUMBER |
| 1487680518 | Other | IN | GROUP NPI |
| 200288740 | Other | IN | GROUP MEDICAID NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | urologyin@directaddress.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Indiana University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14300 E 138TH St
BLDG a
Fishers, IN 46037-0087
Phone (317) 813-1660
7979 N Shadeland Ave
Indianapolis, IN 46250-2042
Phone (317) 621-3780
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000
Hospital & facility affiliations
- Community Health at Home LLC
- Community Hospital North
- Community Hospital East
- Community Hospital of Anderson and Madison County
- Riverview Health
- Indiana University Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-049267 | IL | MD | Urology Physician |
| 01072896A | IN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of Indiana L.L.C. | Urology | Current | Accepting new patients |
| Urology of Indiana, L.L.C. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physician Network Specialty Care LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Urology of Indiana, L.L.C. | Past | Accepting new patients | |
| Urology of Indiana L.L.C. | Past | Accepting new patients | |
| Urology of Indiana L.L.C. | Past | Accepting new patients | |
| Urology of Indiana L.L.C. | Past | Accepting new patients | |
| Urology of Indiana, LLC | Past | Accepting new patients | |
| Urology of Indiana, L.L.C. | Past | Accepting new patients | |
| Urology of Indiana L.L.C. | Past | Accepting new patients | |
| Urology of Indiana, L.L.C. | Past | Accepting new patients | |
| Urology of Indiana, L.L.C. | Urology | Past | Accepting new patients |
| Urology of Indiana L.L.C | Past | Accepting new patients | |
| Urology of Indiana L.L.C. | Past | Accepting new patients | |
| Urology of Indiana L.L.C. | Past | Accepting new patients | |
| Urology of Indiana L.L.C. | Past | Accepting new patients | |
| Urology of Indiana, L.L.C. | Past | Accepting new patients | |
| Urology of Indiana L.L.C. | Past | Accepting new patients | |
| Urology of Indiana L.L. C. | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
5918 Reliable Pkwy
Chicago, IL 60686
11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262
14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660
679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262
7979 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-3780
1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095
7979 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 621-4300
8040 Clearvista Pkwy
Ste 370
Indianapolis, IN 46256
Phone (317) 813-1660
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
8240 Naab Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 872-0123
7979 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-3300
Interoperability endpoints
- urologyin@directaddress.net
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1588535496
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Urology Physician
- Greenwood, IN
- NPI 1487680518
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Customized Equipment (DME)
- Indianapolis, IN
- NPI 1740360379
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Customized Equipment (DME)
- Avon, IN
- NPI 1578961314
-
- Customized Equipment (DME)
- Crawfordsville, IN
- NPI 1740688589
-
- Customized Equipment (DME)
- Franklin, IN
- NPI 1003996638
-
- Customized Equipment (DME)
- Danville, IN
- NPI 1104906734
-
- Customized Equipment (DME)
- Greenfield, IN
- NPI 1275613804
-
- Customized Equipment (DME)
- Lebanon, IN
- NPI 1447342894
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Indianapolis, IN
- NPI 1730646589
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1346489630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 E COUNTY LINE RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431049",
"telephone_number": "317-885-1250",
"fax_number": "317-859-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 E 138TH STE A",
"city": "FISHERS",
"state": "IN",
"postal_code": "460370087",
"telephone_number": "317-813-1660",
"fax_number": "317-813-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARGE",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-11",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "125-049267",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01072896A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201191980",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000826877",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAAB ROAD DME NPI",
"identifier": "1548340177",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID NUMBER",
"identifier": "100194370",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1487680518",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID NUMBER",
"identifier": "200288740",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "urologyin@directaddress.net",
"affiliation": "N",
"address_1": "14300 E 138th Ste A",
"city": "Fishers",
"state": "IN",
"country_code": "US",
"postal_code": "460370087",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.